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Maine rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.74 / $5.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $8.52 / $8.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $7.26 / $8.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $13.37 / $16.48